| Katherine Padinjath, | |
|
1265 E Main St, Bartow, FL 33830-5006 | |
| (863) 534-3737 | |
| (863) 533-6323 |
| Full Name | Katherine Padinjath |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1265 E Main St, Bartow, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760026652 | NPI | - | NPPES |
| 11004880 | Other | FL | FLORIDA BOARD NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 11004880 (Florida) | Primary |
| Entity Name | Newlight Psychiatric Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477058691 PECOS PAC ID: 9931456605 Enrollment ID: O20180726001069 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Padinjath, 17602 Buckingham Garden Dr, Lithia, FL 33547-4333 Ph: (336) 567-5720 | Katherine Padinjath, 1265 E Main St, Bartow, FL 33830-5006 Ph: (863) 534-3737 |
Efrosini Xanthoudakis, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2200 Osprey Blvd, Bartow, FL 33830 Phone: 863-533-8111 | |
Jeena Mathew, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1170 Nevermore Cir, Bartow, FL 33830 Phone: 863-512-1055 | |
Sarah Anne Crowley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900 | |
Ms. Patricia Clark, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3750 Fax: 863-519-3753 | |
Yesenia Maria Martin, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Golfview Ave, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-500-3776 | |
Sandra Kay Heisler, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1260 Golfview Ave, Bartow, FL 33830 Phone: 863-519-3900 | |
Lois Hall, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Brice Blvd, Bartow, FL 33830 Phone: 863-519-7900 |